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                                                                                         Tanimu, SA'ADU
            Zaria - Nigeria
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                                                                       STUDENT AFFAIRS DIVISION
                                                                   AHMADU BELLO UNIVERSITY, ZARIA
                                                                           EXIT/CLEARANCE FORM
                                                         (To be completed in Duplicate)
          All students should complete the Exit/Clearance Form in duplicate at the end of the session and when leaving the
          University finally, that all University properties are returned in good shape. A copy of the completed and duty signed
          form should be left with the Hall Administration for record purpose.
          NAME:                          Tanimu, SA'ADU                                 ROOM NO:                 ..........................................................................................
                                         B.Sc (Ed) Computer
          COURSE:                                                                       REG NO.:                 U19EX2006
                                         Science Education
          DEPARTMENT:                    Science Education
          DESTINATION:                   ..................................................................................................................................................................
          PURPOSE:                       ..................................................................................................................................................................
          CONTACT
                                         No. 233 Anguwan zaria, zaria city
          ADDRESS:
          ACADEMIC                       Department of Science Education.
          HEAD:                          This is to certify that Tanimu, SA'ADU has been cleared by this Department.
          ......................................................                                                                                     ......................................................
                         Date                                                                                                                                HOD's Signature and Stamp
                                         Faculty of Education.
          FACULTY:                       This is to certify that Tanimu, SA'ADU has been cleared by the Faculty.
          ......................................................                                                                                     ......................................................
                         Date                                                                                                                               Dean's Signature and Stamp
             Department of Science Education.
DEPARTMENTAL This is to certify that Tanimu, SA'ADU has returned all the Departmental Library Books, checked
LIBRARY:     and are in good shape.
......................................................                                                 ......................................................
               Date                                                                                     Librarian's Signature and Stamp
KASHIM                         This is to certify that Tanimu, SA'ADU has returned all Library Books, checked and are in good
IBRAHIM                        condition.
LIBRARY:
......................................................                                                 ......................................................
               Date                                                                                             K.I.L. Signature and Stamp
SPORT:                         This is to certify that Tanimu, SA'ADU is not in possession of sports equipment.
......................................................                                                ......................................................
               Date                                                                                   Sports Unit Signature and Stamp
HALL OF                        This is to certify that Tanimu, SA'ADU has submitted the items indicated below checked and
RESIDENCE:                     found correct and in good condition.
ITEM              REMARK                                                      RECEIVER'S SIGNATURE
BED               ____________________________________                        ______________________________________________
MATTRESS ____________________________________                                 ______________________________________________
KEY               ____________________________________                        ______________________________________________
......................................................                                            ......................................................
               Date                                                                       Hall Administrators' Signature and Stamp
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